Health Questionairre & Informed Consent
Prior to each massage session, you may\will be asked to complete a short health questionnaire including surgeries, current medications. etc and to identify any specific areas you would like me to concentrate on or to avoid. This will be used in determining our treatment plan for our session. You will be asked to sign the questionnaire and consent form outlining the risks (although minimal) which also gives me permission to touch you and to commence the session. Clients who I have not seen for at least a year may also be asked to fill out\update this form.
Scope of Practice
I am NOT a physician and cannot diagnose or prescribe for medical conditions nor provide treatment for a specific condition without a doctor’s supervision. I am required to refer you for diagnosis and to follow recommendations of your physician.
Respect for Client Needs
I am happy to adjust pressure, temperature, musical volume, work longer on an area or move on to another are if you request. Just ask.
Occasionally an emotional response to massage occurs and is nothing to be embarrassed about. If this happens, it is OK to express your feelings in a safe and nonjudgmental fashion – or you may request privacy and\or end the session. YOU are in control. The session "clock" will stop during your request for a short privacy break (including rest room).
Minors (people under the age of 18) will only be massaged when accompanied by parent/guardian, and the parent/guardian must be present in the massage session.
Confidentiality & Conversation
The discussion between us is confidential and will not be shared with anyone, including your spouse, unless directed by you. You may or may not choose to talk during the massage but I will check in with you several times about pressure and with instructions for you. I will happy to listen to your conversation and share my professional expertise, but prefer to not discuss topics of a political, private or sexual nature.
Existing/new Medical Conditions
For your safety, it is your responsibility to keep me informed of any medical treatment currently being undertaken and to provide written permission, if required, from the physician, chiropractor, physical therapist, etc., that the massage may be continued. You must also keep me informed of any changes in health conditions since your last visit.
